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North Carolina rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,706.47 / $1,706.47 / $2,943.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.56 / $1,706.47 / $1,706.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.39 / $2,890.81 / $3,560.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.83 / $1,461.63 / $1,461.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.50 / $1,212.63 / $1,212.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $1,212.63 / $2,173.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.10 / $1,706.47 / $2,218.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.00 / $1,096.00 / $1,325.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,064.50 / $2,064.50 / $3,174.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.39 / $963.58 / $1,525.30
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,271.89 / $10,896.03 / $10,896.03
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,828.86 / $13,828.86 / $13,828.86